Provider Demographics
NPI:1891065322
Name:HINKLEIN, VANESSA BRUNO (MA, LMHC, MCAP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:BRUNO
Last Name:HINKLEIN
Suffix:
Gender:F
Credentials:MA, LMHC, MCAP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:BRUNO
Other - Last Name:COUTURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC, MCAP, QS
Mailing Address - Street 1:8986 SE 120TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-7469
Mailing Address - Country:US
Mailing Address - Phone:631-553-6663
Mailing Address - Fax:
Practice Address - Street 1:3230 NE 55TH AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34488-1721
Practice Address - Country:US
Practice Address - Phone:855-483-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLMH13640101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor